Structured role assignment and other techniques for facilitating process in adolescent psychotherapy groups

The application of various types of techniques for structuring the interchange and feedback process in adolescent psychotherapy groups is described. Techniques include random assignment of "roles" for each member during sessions, "parent hot seat" exercises, group goal booklets, and negotiation exercises. These have proved helpful in ensuring effective group participation, providing practice in social skills and verbalization of feelings, and in the development of other specific mastery skills.     

The "REST" program: a new treatment system for the oppositional defiant adolescent

This study compared the REST (Real Economy System for Teens) program with traditional talk therapy in the treatment of oppositional defiant adolescents. The REST program uses rules for five target behaviors: room care, personal hygiene, completion of chores, abusiveness, and safety violations. Objective measures and subjective parental ratings were taken. Twenty-five adolescents were assigned to each therapy group. In the REST program the adolescent was provided with only food and shelter. The adolescent had to earn money through the REST allowance program to pay for everything else. Earning the allowance was made contingent upon compliance with all rules for the five target behaviors. The results showed significantly greater improvement on all target behaviors for the REST program than for traditional therapy. In addition, parents of adolescents in the REST group reported that their adolescents seemed happier, more relaxed, and closer to them.     

Identification of letters in the predesignated target paradigm: a word superiority effect for the common word the

The size of the perceptual unit used in reading was addressed using the predesignated target paradigm. Sixteen subjects viewed the following stimuli in random order: the words tee, the, tie, and toe; the nonwords eet, eht, eit, and eot; and the letters e, h, i, and o. Subjects fixated on the location of the center letter and identified the letter as e, h, i, or o, alternatives which were known to them at the onset. A word superiority effect was obtained for the common word the but not for the less common words tee, tie, and toe. The word superiority effect was attributable to bias rather than discriminability: Subjects exhibited a bias to perceive the words in this experiment as the (i.e., there was a bias to perceive h in the t e stimulus presentations). These results suggest that the common word the is processed in reading units that are larger than the letter, and that the system is biased to perceive common rather than uncommon words in data-limited conditions.     

Neutrality in the analysis of action-prone adolescents

An adolescent patient's action during analysis reflects both neurotic conflicts and the developmentally determined task of establishing an integrated self-representation. Concern for the consequences of the action often provokes the analyst to respond, covertly, with interventions intended to change the action through influence rather than understanding. This can lead to a distortion of the analytic process which, in itself, may be an enactment of the developmental conflict. Examination of such interventions reveals a lack of analytic neutrality and an unconscious participation in the patient's neurotic and developmental conflicts. Clinical material from the analyses of two fourteen-year-old girls and a sixteen-year-old boy is presented to illustrate and support this hypothesis.     

Followup of psychoanalysis five to ten years after termination: III. The relation between the resolution of the transference and the patient-analyst match

As part of a long-term followup study of the outcome of psychoanalysis, we examined the relation between the extent of resolution of the transference at termination and the characteristics of the patient-analyst match. For twelve of the seventeen patients interviewed five to ten years after termination of psychoanalysis, the researchers found that the patient-analyst match played a role in the outcome of the analysis. Illustrations of the influence of the match in cases where the transference was resolved and those where it was not are presented.     

Followup of psychoanalysis five to ten years after termination: I. Stability of change

Seven out of 17 patients interviewed in a long-term followup of psychoanalysis showed either improvement in psychological functioning or a retention of psychological gains they had made during the course of psychoanalysis. Six patients deteriorated in their psychological functioning, but their gains were restored with subsequent treatment. Four patients deteriorated in psychological functioning without restoration, whether or not treatment was reentered. Neither analysts' assessments at the time of termination nor patients' assessments of themselves or assessments based on psychological tests one year after termination predicted which patients would improve or retain psychological change. No causal generalizations about factors related to psychological change can be made from these data. Different factors in interaction are suggested to account for the stability and instability of psychological change.     

Psychophysiological outcome of cognitive, behavioral and psychophysiologically-based treatments of agoraphobia

Psychophysiological process and outcome phenomena were analyzed to examine differential temporal patterns within and across cognitive, behavioral and physiologically-based treatments of agoraphobia. Eighty-eight severe and chronic agoraphobics with panic attacks (DSM-III) were randomly assigned to one of three treatments: Paradoxical Intention, Graduated Exposure or Progressive Deep Muscle Relaxation Training. Protocol therapists, whose treatment integrity was objectively monitored, conducted 12 two-hour weekly sessions. All subjects received programmed practice instructions concurrent with their primary treatment. Analyses revealed numerous significant reductions on in vivo psychophysiological measures for the relaxation condition, a few improvements for the exposure treatment and no effects for the paradoxical intention modality. The mediating role of pretreatment physiological reactivity in treatment outcome and follow-up status was examined and revealed no significant associations. Synchrony-desynchrony patterns were found to vary widely according to both treatment phase and the time interval between assessments. No between-group differences were observed on the proportion of synchronizers. However, synchronizers exhibited superior outcome and follow-up compared to desynchronizers on all domains except the physiological measures. Conceptual, methodological and clinical implications of these findings are discussed with recommendations for future research.     

A historical perspective on recent studies of social learning about foods by Norway rats

Early naturalists explained field observations of social influences on animal learning in terms of spoken language, deliberate tuition of one animal by another, or intentional imitation. During the first half of the present century, experimental psychologists analyzed instances of social learning by animals in laboratory tasks as special cases of operant or classical conditioning. Neither of these traditional approaches provided much insight into the complex processes that often support animal social learning. By combining ethological focus on social learning as it occurs in natural habitat with analytical techniques developed in the psychological laboratory, contemporary researchers have made considerable progress in describing the many ways in which social interactions influence behavioural development in animals. The author's investigations of social influences on food selection by Norway rats provide one example of such an ethopsychological approach to the study of animal social learning.     

Recovery from occipital stroke: a self-report and an inquiry into visual processes

This report summarizes the behavioural effects of a right occipital stroke in the author. An upper left quandrantanopia resolved over the first 50 poststroke days to leave a scotoma that included the left upper quadrant of the fovea and extended upwards about 6 degrees and lateral about 15 degrees. There was no further reduction in size over the next 4 years. In the early stages of recovery there was an inability to detect consciously either the presence of objects or their motion, except upon reflection once an object entered the intact visual field. This has been referred to previously as blindsight. On about the fourth day poststroke, part of the scotoma became visually active, producing a scintillating aura, which remains. Shortly thereafter colour perception returned in the scotoma, as did motion detection. Although there was little additional change in the field defect after 2 months, the author's visual abilities have continued to improve, in large part because of a shift in fixation such that information at the centre of the visual field now falls about 1.5 degrees into the lower right portion of the fovea. The implications of the visual and behavioural changes are discussed in the context of multiple visual systems and with respect to recovery of function.     

Search behaviour of cats (Felis catus) in an invisible displacement test: cognition and experience

An invisible displacement test was administered to cats in order to test the hypothesis that search behaviour in this species is influenced by their limited capacity for object permanence as well as by their previous experience with the environment. Experiment 1 compared three groups of cats in a five-choice hiding task in which the hiding places could be discriminated by their spatial positions. Two groups received a visible displacement training before the invisible displacement test and one group did not. Experiment 2 compared two groups of trained subjects in the same task, but the hiding places could be discriminated by spatial and visual cues. The results confirmed that cats are unable to solve problems with invisible displacements. The visible displacement training improved their performance, but was not sufficient to make them succeed. Experience with the hiding potential of the covers also gives more persistence to search behaviour. Finally, the distribution of search attempts is not determined by the proximity to the target and is influenced only partially by the subjects' previous experience. Like Stage 5 infants, cats rely mainly on their immediate perception. They search for an object in the last location they have seen it disappear or under the nearest cover from this location.